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Ann Thorac Surg 2003;76:1767-1773
© 2003 The Society of Thoracic Surgeons

Review

Preoperative risk assessment for marginal patients requiring pulmonary resection

J. Ryan Burke, MDa, Ignacio G. Duarte, MDc, Vinod H. Thourani, MDa, Joseph I. Miller, Jr, MD*b

a Department of Surgery, Georgia, Atlanta, USA
b Section of General Thoracic Surgery, Georgia, Atlanta, USA
c Division of Cardiothoracic Surgery, and Emory University, School of Medicine, Atlanta, Georgia, USA

* Address reprint requests to Dr Miller, Section of General Thoracic Surgery, Crawford Long Hospital, 550 West Peachtree St, NE, Suite 64446, Atlanta, GA 30308, USA.
e-mail: jmille6331{at}aol.com

Surgical resection remains the mainstay of treatment for pulmonary malignancy. The ability of patients to undergo resection is dependent on the anatomic characteristics of the tumor, and the respiratory and cardiovascular status of the patient. There have been recent advances in our understanding of respiratory function in the patient with marginal lung function that have allowed surgical therapy of lung cancer in patients previously deemed inoperable. This review will define the marginal patients who can safely undergo pulmonary resection.




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